Chair: Mark Scrimshire
Scribe: Vanessa Candelora
Create Decision from template
This is to approve minutes via general consent. "You have received the minutes. Are there any corrections to the minutes? (pause) Hearing none, if there are no objections, the minutes are approved as printed."
Minutes Approved as Presented
Agenda Topics
Agenda Outline | Agenda Item | Meeting Minutes from Discussion | Decision Link(if not child) |
|---|---|---|---|
| Management | Review ANSI Anti-Trust Policy |
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Call Structure & Name Changes |
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| Implementer Resources | See Supporting section below! | ||
| Sept Connectathon | When: 9/13-9/15 Visit the Da Vinci HL7 Connectathon page for quick highlights on each tracks. Connectathon Kick Off September 8th - reach out on Zulip if you missed the invite and are registered for the Connectathon. Fill out your survey! | ||
| Today | |||
| Formulary | (MITRE is closed, will not cover today) See Recording of Formulary Tickets for STU 1.1.0 Overview Stage for people to review: https://build.fhir.org/ig/HL7/davinci-pdex-formulary/branches/stu-update-1.1/ | ||
| PlanNet/Directory | (MITRE is closed, will not cover today) | ||
| New Implementer Support / Questions | |||
| PDex - Update on the payer to payer consent and membermatch updates per feedback. | Reviewing the work created in HRex (Parent IG) for Payer to Payer exchange and getting patient consent. http://build.fhir.org/ig/HL7/davinci-ehrx/consent-oauth.html
Addresses 4 areas in picture above. See some notes from HRex review here:
Yes, this can be used for the Payer to Payer 1/1/2022 requirement. This is the evolved solution for the Member-Match that was in the IG previously based on feedback from many national payers that are planning to implement this approach. We have it, but we aren't telling people when to use it. Don't have an answer yet, but Bob is thinking something like "If you are using membermatch, that you shall use this." If you are using MemberMatch, then it would be required to do it this way. | ||
| Update on PDex IG that Mark has made. | Mark shared an update on recent changes. Note: Based on the 3.1.1 version of USCore and not changing in this update. We are pursuing an STU Update. See here: http://build.fhir.org/ig/HL7/davinci-epdx/ChangeHistory.html bascially section 9 from table of context. linked back to the JIRA tickets that pertain to the changes made. | ||
| Implementer Support question | Discussion about using USCore and the convention of not constraining there. US Core Encounter Profile - e.g. Diagnosis backbone element.
Reason reference US Core Condition of procedure but htey just refernece observation, that allows you to do vital signs, diagnostic reports, etc. They are all derivatives of that observation. They did not constraint observation there because there are observations that are outside USCORE, based on industry feedback they would exclude sharing certain data. | ||
Next Week | Review and Feedback from homework for all to review this http://build.fhir.org/ig/HL7/davinci-ehrx/consent-oauth.html and give us your thoughts on requiring this approach (for those that are using membermatch.) | ||
| Adjournment | Adjourned at 12:36pm EST. | ||
Outline Reference | Supporting Document |
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| Minute Approval | |
| PDex Companion Guides | |
| CARIN CPCDS to US Core Mapping | Latest draft CARIN CPCDS Mapping document: CARIN Mapping to FHIR interim 2020 0818 v2.xlsx DRAFT - PDEX US Core Mapping from CPCDS source: ResourceMappingUSCoreCPCDS-2020-05-29-v26.xlsx |
| PDex - US Core inter-relationship |
Source PowerPoint: PDEXandUSCoreRelationship.pptx |
| Da Vinci is seeking answers to open questions and clarifications needed on the implementation and operational needs of the upcoming CMS Patient Directed API Rules. | Find initial questions and corresponding answers shared from our colleagues at CMS here |
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| Other Links: | Source code is here: https://github.com/HL7/davinci-epdx
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Implementer Resources | Da Vinci Implementer Support Page Implementers can take advantage of tools: See the Reference links on the Payer Data Exchange (PDex) page to access links for Reference Implementations, sandboxes, test scripts, and more! Da Vinci PDex for Patient Access API Frequently Asked Questions (FAQs) CMS Final Rule Questions and Answers log ONC FAST National Healthcare Directory (including end points) solution page that includes links to everything (solution doc, Connectathon, HL7 workgroup, etc.): https://oncprojectracking.healthit.gov/wiki/display/TechLabSC/National+Healthcare+Directory For questions, reach out to us on Zulip: |
Action items
- David Hill - Dave will get more clarity on https://chat.fhir.org/#narrow/stream/229922-Da.2BVinci.2BPDex.2BPlan-Net/topic/InsurancePlan.2Eplan.2Etype . May need some or all: clarifying language, A written example for Medicare, changes to IG.
- Mark Scrimshire - Mark and Bob work offline on the FAQ #14 to address Dan's concern .
- Sean Mahoney - Update the proposal for Plan Type additions/changes based on discussion on 8/20 for review next week.
Attendees - 30
Intepro Solutions Rakesh Mathew Daniel Lilavois Patricia R Harbin Shalabh Gautam Kamaraj Kaliaperumal, Carefirst Bhanu Vemuri Narasimha Murthy Accenture Maggie Mellon Courtney BlandPresent Name Affiliation MITRE HealthLX MITRE Evernorth Mettle Solutions Rachel E. Foerster BCBST Tom Grannan Azuba Vanessa Candelora POCP, Da Vinci PMO Deepthi Reddy Mettle Solutions Allscripts Eric Sullivan Inovalon India Duncan Optum Availity Susan Lestina AHA Bob Bowman CAQH Thomas Kessler CMS Patrick Edwards Briana Barnes Scope Info Tech Kishore Metla Mettle Solutions John Donnelly Lorraine Doo CMS Melanie Jones CMS Rim Cothren Yolanda Villanova CMS Manoj Kumar BCBSFL MITRE Srinivas Konchada Centene Corporation Sheryl Turney Anthem Helina Gebremariam Mike Novales BCBSIL Ric Light Humana Ann Gallagher Optum Chris Klesges Mitre Adam Gronsky Health Fidelity CaseNet Anthem CMS eClinicalWorks Healow Interfaceware Mark Rucci Spectramedix Anthem Cindy Monarch BCBSM Michael Kim Jim Catan Accenture BCBSA Jia Chen Jeff Eastman Ernestine Cooper Jason Teeple CIGNA Mary Winter Tony Benson BCBS AL Independence BC Henry Archibong Inovalon HL7 Consultant Abdul Sattar Anirudh Choudhary Todd Biske ESI Darrell Woelk Doug Stoss Rick Lisseveld Aegis LakshminarayananSaravanan Laurie Burckhardt WPS Health Plan Kevin Lynch Inovalon Joseph Minieri MITRE Durwin Day BCBS IL Pamela West Ravi Thakkar Aetna UO Aetna Swati Nanda Aetna CVS Health Cyrus Kevin Fred Harmon Ready Computing Blue Cross NC Michael Ryan NCQA HealthSparq CVS/Aetna Dorothy Lee NCQA Khoa Nguyen Suma Addagadde BCBSNC Caitlyn Campi FL Blue Diane Bengtson Sean Mahoney MITRE Balaji Richard Lisseveld Shanna Hartman CMS Kevin Day Edifecs Sai Bagewadi Cognizant Kechia Scott Kerri Wing Krithika Kumar Accenture Don Zacharia Pamela Maklari Cognizant @David Bradsher BenMedica @DJ Gallagher @Follis @Nidhi @Emily Lozada Bruce Schreiber Ed Hafner WEDI / Change Healthcare Alberto S. Llanes FEHRM Danny Iacovou Kimberly Bradbury Prime Kranthi Pathca Sreeram vedururi Joel Hansen Milinda Perera WSO2 Nirmal Fernando WSO2 Viroopi Ujjawal Bhatnagar
Chris Johnson Anthony Omosule Accenture Google Cloud Healthcare Independent Health; X12 Scott M. Robertson David Clowers Ramandeep Dhanoa "Raman"Present Name Affiliation Nancy Spector AMA Bruce Wilkinson BenMedica Avality Daniel Venton Optum BCBSAL Rob McClure MD Partners Ronald Wampler CVS Health Aetna Bryan Briegal ACP @Callie Phillips MCG ONC Surescripts NCPDP Anupam Thakur BCBSFL Jonathan Hutchins BCBST Anthem Sunitha Godavarthi Christopher Gracon Labcorp James Derrickson Intersystems Deb Conklin Medical Mutual of Ohio Cognizant Neetha Joseph Cognizant Kaiser Permanente MITRE Rutika Express Scripts Brody Brodock Allscripts Michael Brody CME Online Theressa Baumann BCBS AL Mona Chandrapal eClinicalWorks Optum Aakash Deliwala eClinicalWorks Mayo Epic Shaheer Stanley Nachimson Anthony Smith UNC Health Howard Cohen Minaei Behnaz FDA BCBSA Shilesh Nair gdit NewWave MaxMD BC Idaho Edward Castagna Altarum Andrea Kent CoverMyMeds Carrie Denny Kim Pham Celine Lefebvre AMA Edifecs Josh Lamb UPMC Keya Shah Casenet Gevity MITRE Mrugen Mehta eClinicalWorks Revathi Jayakumuar Supriya Bapi Bhera Matt Dyer Vyne Sree Vijetha Vegi C-HIT BCBSA Rich Bloch Lumedic Cigna Paul Knapp Ron Urwongse CAQH Anand Raghavan Ezequiel Morales Cigna Evernorth Frank McKinney Hanna ? Brett Rauschke Carolyn McKinney Clarissa Winchester BCBS AL JC HealthShare Exchange (HSX) River Wong Derrick Woolridge Beata Ferraiz Ed Donaldson Consultant with Humana Julie Burgoon Mark Neumuth Aetna Raj Sankuratri Aetna Dr. Cheryl D. Lohman Germantown, MD | Family Physician Barbara Valeno Eshaa Dhall eclinicalworks Angie Brandon Beatrice Thompson CVS Health Hema Srinivasa Kristin Ashby Aetna Nag Sanivarapu Abhishek Pandey Shailesh Prabhu Travis Hendrix Dr. First Zakir Guler Jason VanderJagt edifecs Erika Wagner Shamil Nizamov Michael Robinson Christopher Marchand Chris Busch Nathaniel Hosenpud Christopher Roedocker SKYGEN Jeff Brown MITRE Sid Nehal Amin Amit Cudykier C45214 Noah Lincoff Yukta Bellani Evernorth/Cigna Brian Schoonover Optum Tone Southerland OneRecord @Ram Optum Kat Sobel NCQA Phung Matthews Benji Graham @Grace Stambaugh Donnielle Williams Rob Brull Eric Liu, PharmD, MBA Chris Geisler Abhinav Garg Cindy Harber CBC Gevity Eric Heflin Rennil Cruz Avinash Kanal